OrganizationActive
Custom Med, LLC
NPI 1700636271 · Community/Retail Pharmacy · Chicago, IL
Custom Med, LLC is a Community/Retail Pharmacy organization in Chicago, IL (NPI 1700636271).
Provider details
- NPI number
- 1700636271
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Custom Med LLC
- Organization subpart
- Yes
- Authorized official
- Inas Dahabra, Member, President(708) 289-6721
Specialties & taxonomies
Suppliers
- Pharmacist183500000X
Pharmacy Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3156 N. Clark
Chicago, IL 60657
Phone: (773) 568-8340
Street-level locationGet directions
Mailing address
3156 N. Clark
Chicago, IL 60657
Other names (DBA / former)
- Doing business as
- Prime Plus Lakeview
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-10-02
- Certified
- 2024-10-02
Frequently asked questions
- What is Custom Med, LLC's NPI number?
- Custom Med, LLC's National Provider Identifier (NPI) is 1700636271, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Med, LLC?
- Custom Med, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Custom Med, LLC located?
- Custom Med, LLC's practice location on file with NPPES is 3156 N. Clark, Chicago, IL 60657.
- What is Custom Med, LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Med, LLC is (773) 568-8340.
- Who is the authorized official for Custom Med, LLC?
- The authorized official listed on Custom Med, LLC's NPPES record is Inas Dahabra, Member, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Med, LLC's NPI active?
- Yes — Custom Med, LLC's NPI (1700636271) is active in the NPPES registry as of the last update on 2024-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.